1609501881 NPI number — MEGAN ALEXANDRA GARNER M.ED. LPC

Table of content: MEGAN ALEXANDRA GARNER M.ED. LPC (NPI 1609501881)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609501881 NPI number — MEGAN ALEXANDRA GARNER M.ED. LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARNER
Provider First Name:
MEGAN
Provider Middle Name:
ALEXANDRA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.ED. LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GREEN
Provider Other First Name:
MEGAN
Provider Other Middle Name:
ALEXANDRA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.ED; LPC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1609501881
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
906 S ALAMO RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKWALL
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75087-4115
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-323-1092
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
906 S ALAMO RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKWALL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75087-4115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-447-8241
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  82037 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com